DR. ELLEN BURGESS PH.D.
NPI 1962794024
Psychologist - Clinical in Rockville, MD

Active since May 09, 2011PECOS EnrolledAccepts Medicare Assignment
11119 ROCKVILLE PIKE, SUITE 200, ROCKVILLE, MD 20852(301) 633-3104 Get Directions Write a Review

NPPES record last updated: January 16, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Ellen Burgess Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ELLEN BURGESS PH.D. (NPI 1962794024) is an individual clinical provider in Rockville, Maryland, licensed in Maryland (04080) and active in the NPI registry since May 2011. She is enrolled in Medicare PECOS and is a graduate of Other (1995).

NPPES Registry Identity

NPI1962794024
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. ELLEN BURGESSCredential: PH.D.
Location Address11119 ROCKVILLE PIKE, SUITE 200Rockville, MD 20852-3143
Mailing Address6110 Wilmett RdBethesda, MD 20817-2461 · (301) 633-3104
Sole ProprietorYes
Medical School CMSOtherGraduated 1995
Enumeration DateMay 9, 2011
Last NPPES UpdateJanuary 16, 2017
NPI 1962794024 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in MD · 04080
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
11119 ROCKVILLE PIKE, Rockville, MD 20852

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Ellen Burgess Ph.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7517126741
PECOS Enrollment IDI20120308000068
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
360 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20852 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$194.86 typical visit price
range $65.18 – $194.86
Typical copayment $48.71 (range $16.29 – $48.71)
Most-billed visit code 99205
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychiatry & Neurology (Neurology)
11119 ROCKVILLE PIKE
ROCKVILLE, MD 20852
Specialist
11119 ROCKVILLE PIKE, SUITE #404
ROCKVILLE, MD 20852
Internal Medicine (Cardiovascular Disease)
11119 ROCKVILLE PIKE, SUITE 100
ROCKVILLE, MD 20852
Acupuncturist
11119 ROCKVILLE PIKE, 209
ROCKVILLE, MD 20852
Pediatrics
11119 ROCKVILLE PIKE, SUITE 310
ROCKVILLE, MD 20852
Audiologist
11119 ROCKVILLE PIKE, SUITE 210
ROCKVILLE, MD 20852
Dentist (General Practice)
11119 ROCKVILLE PIKE, SUITE 322
NORTH BETHESDA, MD 20852
Psychologist (Clinical)
11119 ROCKVILLE PIKE, STE 316
ROCKVILLE, MD 20852

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ellen Burgess's NPI number?

The NPI number for Ellen Burgess is 1962794024. It was assigned to this individual provider in the NPPES registry on May 9, 2011.

Where is Ellen Burgess located?

Ellen Burgess practices at 11119 Rockville Pike Suite 200, Rockville, MD 20852. The listed phone number is (301) 633-3104.

What is Ellen Burgess's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Ellen Burgess enrolled in Medicare?

Yes. Ellen Burgess is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Ellen Burgess was last updated on January 16, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.